Author Question: What will the nurse include in the discharge teaching plan for a patient with PVD? (Select all that ... (Read 108 times)

Charlie · **on:** Jul 24, 2018

What will the nurse include in the discharge teaching plan for a patient with PVD? (Select all that apply.)

a. Intermittent cold applications to the extremities
b. Heat therapy
c. Stress reduction techniques
d. An exercise program
e. Bed positioning techniques

Question 2

Which are included in the baseline assessment of PVD? (Select all that apply.)

a. History of heart disease
b. Smoking and dietary habits
c. Current medications
d. Weight
e. Limb pain
f. Mental status

chreslie · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: C, D, E
Diseases such as diabetes, hypertension, angina, and hyperlipidemia are interrelated with PVD. Stress reduction techniques will assist patients in reducing blood pressure, smoking, and overeating. A daily exercise program can significantly improve collateral circulation. Bed positioning techniques, such as elevating the bed 12 to 16 inches, improve blood flow to the periphery. Intermittent cold applications to the extremities and heat therapy will not benefit the patient with PVD.

Answer to Question 2

ANS: A, B, C, D, E
Age, gender, race, family history of incidence of symptoms of PVD, hypertension, and cardiac disease indicate risk factors for developing PVD. Smoking causes vasoconstriction, and dietary habits can cause atherosclerosis, predisposing the patient to PVD. Current medications are essential to know in order to prescribe a pharmacologic agent without exposing the patient to possible drug interactions. Weight may factor into calculations for prescribing medications to treat PVD. Limb pain is a symptom of PVD and may allow the health care provider to assess the extent of existing disease. Mental status is not included in the baseline assessment of PVD.